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Tobacco Products
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Nancy Houston Miller, Karen Laing
The patient may also be supported with skills training that includes a problem-solving approach, practice session (behavioral rehearsal, coaching, and feedback), or relapse rehearsal in order to prevent relapse. Relaxation training can be used, including progressive muscle relaxation, meditation, and stress management. Education may be provided regarding the problem of feeling a need for immediate gratification. This can include a discussion of the risks associated with an unbalanced lifestyle mentioned above. It may also include the use of Marlatt and Gordon’s decision matrix, which considers the immediate and delayed consequences of remaining abstinent versus resuming substance use (Marlatt & Gordon, 1983).
Turn It Off – Relaxation Training
Published in Melissa G. Hunt, Aaron T. Beck, Reclaim Your Life From IBS, 2022
Melissa G. Hunt, Aaron T. Beck
Progressive muscle relaxation involves systematically tensing and relaxing the major muscle groups of the body. It may sound a little crazy to tense your muscles if you’re trying to relax, but we’re counting on the fact that tensing your muscles for about ten seconds actually leads to muscle fatigue. When you stop tensing the muscle, it will not only relax, it will actually get more relaxed than it normally is, because the muscle fibers are tired. This should leave the muscle feeling quite lax, but also warm and vital.
Trauma-informed Care
Published in James Matheson, John Patterson, Laura Neilson, Tackling Causes and Consequences of Health Inequalities, 2020
Consider how to help people learn skills to regulate emotion such asControlled breathing.Cooling themselves by opening a window, holding a cold item (bag of ice cubes in rubber glove) or holding a hand under a running tap.Progressive muscle relaxation.Counting down from 100 in sevens or 30 in twos.
Management of long-COVID-19 patients with sleep disorders: practical advice to general practitioners
Published in Libyan Journal of Medicine, 2023
Fatma Guezguez, Mohamed Romdhani, Amine Boutaleb-Joutei, Karim Chamari, Helmi Ben Saad
Relaxation aims at reducing somatic and cognitive hyperarousal states, which interfere with sleep [14,16,46]. The relaxation techniques include abdominal breathing, guided imagery, meditation, and progressive muscle relaxation [16]. The latter has proven its effectiveness in patients with acute COVID-19 [47]. Yet, the optimal relaxation method for insomnia remains the one that is the easiest to learn and the most acceptable for patients [46]. Progressive muscle relaxation involves methodological tensing and relaxing different muscle groups to learn how to distinguish between the sensation of muscle tension and relaxation [14,16]. Specific techniques can be delivered via live instruction, audio form, video, or immersive video forms [48]. Thus, the instructions include i) forcing tension with a group of muscles and concentrating on the feeling of tension; and ii) trying to hold the feeling of tension for seconds, and then relax. LC19Ps should experience the sensation of muscle relaxation resulting from the very recent relaxation exercise. They are recommended to move to another muscle group, once the previous group is relaxed.
A qualitative examination of the usability of a digital cognitive behavioral therapy for insomnia program after stroke
Published in Brain Injury, 2022
Tom Smejka, Alasdair L Henry, Catherine Wheatley, Colin A Espie, Heidi Johansen-Berg, Melanie K Fleming
We were pleased to find no clear physical issues associated with operating the program for participants with one-sided arm weakness. However, advice to leave the bed when unable to sleep was considered unsafe for participants with reduced mobility. This has also been noted for in-person CBT-I in this population as well as in people with traumatic brain injury (10,11). This could be adapted by advising users to sit on the edge of a bed, if leaving the room is not feasible, or using relaxation techniques such as those implemented in the study by Herron et al. (11). This may still help to break the bed-insomnia association. Similarly, it was noted that progressive muscle relaxation was deemed to be unsuitable for people with high tone (a common complication associated with motor deficits). It is worth mentioning that all participants are provided information on progressive muscle relaxation, however, following this “the Prof” instructs anyone who experiences muscular or joint problems to use autogentic relaxation instead. Progressive muscle relaxation could therefore be avoided if needed.
Can biofeedback-based training alleviate fatigue and vigilance performance in fatigued MS patients?
Published in Neuropsychological Rehabilitation, 2022
Carina Sander, Niclas Braun, Fenja Modes, Hans-Peter Schlake, Paul Eling, Helmut Hildebrandt
It should be noted that ANS functions are under the control of two different but interconnected neuronal systems. Whereas the SCR is produced by the sympathetic nervous system, fast changes in heart rate, in pupil size and digestion, for example, are controlled by the parasympathetic nervous system. Therefore, analysing the ability of MS patients to gain partial control over their ANS would be incomplete if one would not examine control over parasympathetic activity. A major function of the parasympathetic branch of the ANS is to induce relaxation. Progressive muscle relaxation (PMR) is a prominent and well-established method for inducing relaxation. During PMR, a participant is asked to increase muscle tension and then relax this tension for separate muscles of body parts and in the face. Sakakibara et al. (1994) showed that a single session of PMR can have a measurable effect on the parasympathetic modulation of the heart rate variability (HRV) and later studies replicated this finding (Nolan et al., 2010; Sakakibara et al., 1994; Theiler, 2015; Wilk & Turkoski, 2001).